Medical apparatus for use in proctotherapy



Jan. ,12 1926.

B. SCHELLBERG MEDICAL APPARATUS FOR USE IN PROTOTHERAPY Original Filed April 22. 1921 2 Sh aets-Sheet 1 as" 3a a6 I n1- a v QIE-was 59 6 42 INVENTOR 0. 6. Jams-'1 4 552a.

lab. -12 1926.

- O. B. SCHELLBERG" MEDICAL APPARATUS FOR USE IN PROOTOTHERAPY 2 Sheets-Sheet. 2

Original Filed Aprilv 22. 1921 .INVENTOR 5 0. 5. SCHELLBERG.

ATTORNEY Rei ssued Jan. 1 2, 1926.

" .oNlTEo STATES PATE NT OFFICE.

OSCAR B0130 SCHELLBERG, OI NEW YORK, N. Y., ASSIGNOR T SCHELLBEBG MANU- FACTURING GORPOR AT ION OF NEW YORK, N. Y., A CORPORATION OF NEW YORK.

MEDICAL APPARATUS FOR-USE IN rnoc'ro'rHERArY.

Original No. 1,425,420, dated August 8, 1922, Serial No. 463,702, filed April 22, 1921'.

' reissue filed November 17, 1923. Serial No. 675,389.

To all whom it may concern .Be it known that I, OSCAR Bo'ro SGHELL- BERG, a citizen of the United States, and a resident of the city of New York, in the county and State ofNew York, have invented a newand Improved Medical Apparatus-for Use in Proctotherapy, of which I the following is a full, clear, and exact description.

The presentinvention relates to new and useful improvements in medical appliances,

and it pertains more particularly to apparatus for treating diseases and infections of the colon and alimentary canal.

' vention to provide apparatus which will serve to remove intestinal flora and feces from the colon. Y

, It is a further object of the invention to provide means which in its action will re IDOVg all obstructions and clean all pockets of the colon, and, at the same time, provide a device by means of which antiseptics and other medications may be applied.

It is a still further object of the invention to construct a device the use of which permits of the planting of various bacilli.

It is a still further object of the invention to construct an apparatus, the .use of which permits of a thorough cleansingof the several passages and is capable in use of insertion to a treated.

With the above and other objects in View,

reference is had to the accompanying draw point where the cecum may be ings, in which- Figure 1- is a view in elevation partly in section of the complete device;

. able device;

universal coupling of the li uid tube;

Figure 7 is a view in elevation of a port- Figure 8 is a detail view in' elevation partly broken away of the injector tube;

- more clearly Figure 9 is a longitudinal sectional view of said tube.

Description Referring more particularlyto the drawings, the reference character 20 designates an operating table-and said'operating table is in the form of a cabinet provided with sliding doors. 13. The table is provided with 'a mattress ov'the like 21, and said mattress extends throughout a portion of the length of the tableandterminates at a point indicated by the reference character 22.

The reference character 23 designates an I opening in the top of the table and said It is one of the primary objects of the inor the like 27 in order that the same may be readily movable from place to place as desired.

- The reference character 30 designates a bracket pivotally mounted as at 31 to a wall or other suitable support. This bracket has a hooked end 32 and mounted in said hooked end 32 is a block or the like 33. Passing around this block 33 is a reeving of rope or the like 34, and said rope .34 passes around a lower block-35 provided with an eye 36. Secured in the eye 36 by means of a hook or the like 37, is a frame 38, substantially rectangular .in form and provided with a curved ofi'set portion 39. Supported from the top bar 40 of'the frame 38, by meansof hooks or the like 41, is a ring 42, and sus-'- pended in said ring is a container 43 which contamer has an outlet44 to which is at- Application for" tached a length of rubber hose or other suitable tubing 45. This receptacle 43 is clos ed by means of a cover 46 and carried by the cover 46 is the socket 47 of a lamp 48 mounted interiorly of the receptacle. As shown in Fig. 3, the receptacle 43 is received within the curved offset portion 39 of the frame 38, and said receptacle preferably rests against the same inorder that the"receptacle may be steadied in a vertical position.

Mounted within the receptacle 43 and carried'by its cover, is a thermometer 49, by means of which a reading of the temperature of the liquid contained in the receptacle 43 may be had. Extending from the circular-ofl'set portion 39 of the bracket 40, is a circular bracket 50, and mounted in said circular bracket is a receptacle 51. This receptacle 51 has a cover 52 and mounted in the cover 52 is a lamp socket 53 which forms the means for mounting an .incandescent lamp 54 within the receptacle 51. The reference character 55 designates a thermometer carried by the cover 52 of the receptacle 51' and said thermometer is employed for giving a reading of the temperature ofthe liquid contained in the receptacle 51, Leading from the lamp socket 47 is a wire 60, and leading from the lamp socket 53 is a wire 59, said wires 59 and 60 leading to a suitable fixture6l to which a suitable source of power 62 is attached. Leading from the receptacle 51 is a tube 58, and this tube together with the tube 45 heretofore mentioned, .is connected to a rcoupling 63. Mounted in the tube'45, is a stop cook 64, and mounted in' the tube 58 is a stop cock 65, by means of which the liquid from either of the receptacles43 and 51 may becutoif."

Connected to the Y-coupling 63 is a flexible tube 66 and said fle ible tube, is connected to a three-way valve 67. The three way valve has two branches 68 and 69 controlled by means of a handle 71. This valve is carried-by a suitable supporting arm 72, pivotally mounted as at 76 on an arm 73. which in turn is pivotally connected as at 74 to the arm 75.' The arm 75 is pivotally connected to a bracket-77-secured as at 7 8 to the operating table 20. By this construction it is apparent that the threeway valve 67 is adjustable in a horizontal plane with relation to the operating table 20. Connected to the branch 69 of the three-way valve 67, is a tube 79, and said tube 79 is adapted to act as a drain for said Connected to: the branch 68 of the three-way valve 67, isa tube 80, and said tube 80 is adapted to convey the. liquid from the receptacles 43 and 51, de-' pendent upon the position oftheir respec-' tive cocks 64 and 65, to the parts toibe treated. g i As more clearly shown in FL 6, the tube 80 has mounted in its free end a pipe sec 'tion 82, and said pipe section 82 is adapted to telescopically receive a pipe section 83. The pipe section 83 is provided with a shoulder orv annular bead 84, and engaging said shoulder or annular head is acollar 81,

. which when is rigidly carried by the pipe section 82. By this construction it is ap-. parent that the pipe section 83 is capable k of rotation with respect to the pipe section 82, and this operation is-permitted without a leakage of the liquid passing through the two pipe sections 82 and 83.

Secured tothe pipe section 83 is a flexible iaz'n tube 86, and this tube 86is shown specifically in Figs. 8' and 9. This tube 86 has its entrant end tapered or pointed as indicated by the reference character 87, which end 87 is closed; The tube 86 is provided adjacent itsclosed end 87'with an opening 90, and diametrically opposite to the discharge opening 90, is a discharge opening 91, which a transient col-on sphincter and open up the sphincterso as to advance through the intestine. The two openings above mentioned are longitudinally elongated, the outer edges of the openings being rounded and diminishinginto the tube to prevent the wall of the intestine being caught within the tube. These two holes also aid in maxing the end of the tube more fleXible,--and facilitating the bending thereof around sharp angles, while the body of the tube being more rigid, facilitates the lifting of the colon often needed to pass the tube through the pelvic colon and descending colon, thence through the splenic. flexure, and through the transverse colon, then through the hepatic flex ure, and thence through the ascending colon to the cecum. By the mechanical manipu-' lation of this specially shaped and con- 1 s'tructed tube, the cecum can be reached and treated; The two holes referred to are disposed on opposite sides of the tube in practically overlapping relation, thus imparting an extremely valuable flexibility in the tip of the tube.

i The device operates in the following inanner: I I a The receptacle 43 contains a solutionat body temperature and this solution is adapt ed to be introduced to the colon and intestines as follows: The tube, 86 is inserted after which the c0ck64 is opened, it being understood that the cook 65 is closed. The ope crating handle 71 of the three-way valve 67 is now thrown to permit of the liquid passing fromthe receptacle 43by means of the pipe. connection 45, Y-coupling 63, tube con nection 66, three way valve 67, tube 80, to the entrant tube 86. From theentrant tube 86, the liquid discharges through the openings 90 and 91, and the washing begins. After the washing operation, the valve 70 of the three-way valve 67 is thrown to out 01f communication with the tube 66' and the, cock 64 is closed. As the communication between the tube 66 and the entrant tubev 86 is-cutofi, communication between the enallows the solution to drain from the colon into the receptacle to which the drain tube 79 leads, as more clearly shown in Fig. 1.

In the above-described manner the liquid is again permitted to flow from the large receptacle 43 thus dilating the colon, and during this dilation of the colon the tube 86 is passed therethrough as the water flows. By a suitable manipulation of the apparatus in'the above-described manner, intestinal interlining adhesions in the colon are destroyed, and pockets containing intestinal flora and feces, and all obstructions areremoved. By dilating the colon and inserting the tube 86 simultaneously with the dilation of said colon, it is ossible to insert the tube to the point where it will reach the cecum.

Owing to the peculiar construction of the tube 86, i. e., its pointed or ta ered end of a more or less pliable nature, t e same may elevate the intestines and ass therethrough without injury thereto. is the tube 86 is inserted it is given a slight rotary motion, and this motion is permitted owing to the coupling between the tubes 80 and 86 heretofore described and shown in Fig. 6. The slender pointed end 87 of the tube 86v af-' fords easy access thereto through the various sphincters 0r contracted openings of the, colon. The tube 86 is made of suflicient length to extend through'the colon to the cecum at the entrance end thereof, thus permitting a direct treatment thereof and of the intestinal tract to which access is thus gained. The action by which the tube is carried through this tract and through the sphincters thereof is in large measure aided by the peristaltic action set up by the died to be employed as an antiseptic or any lation and contraction of the said tract. It has been found, in fact, that after the tube has passed into the colon, littleor no pres. sure thereon is required to carry it through the colon to the cecum. The treatment then administered is primarily the result of the length and flexibility of the tube 86 and the slender solid pointed end 87 thereof.

By the use of this same apparatus the injurious bacteria may be destroyed and, in

carrying out this operation the small receptacle 51 is adapted to.contain a solution of greater temperature than thatcontaincd in the larger receptacle which solution is adaptmedication.

In proceeding with this operation after the tube has been passed as far as possible, the stop cook 64 isclosed and the stop cock 65 is opened, after which the liquid contained in the small receptacle 51 will pass by way of the tube 66, three-way valve 67 and tube 86 t0 the discharge openings 90 and 91 thereof. This liquid is applied in the same manner as above described.

In addition to the above operation this apparatus-is particularly useful in the lanting of bacilli, such as bulgarici, acilli acidophili, and other beneficial bacilli. In using the device for planting bacilli, the foregoing operationsfare carried out except that the bacilli to, beplanted are'carried in suspension in aliquid employed. i

In Fig. 7 is shown a portable device and in this form of the invention-the frame 38 movable connection at the point 100 between the tubular standard 94 and the standard 95, in order that the same may be detachable one from the other, and removing the standard 93 from the tubular standard 94, it is apparent that the device shown in .Fig. 7 is readily knocked down to render the same transportable.

Claims: 1 v 1. A device of the character described comprising a bracket, a rectangular frame having a portion thereof bent atright anles tothe main portion to rovide means for supporting a plurality o containers, a container suspended in one portion of said rectangular frame, acontainer rigidly supported in the other portion of said rectangular frame, and means for adjustably supporting said frame relative to the bracket, substantially as described.

I 2. An apparatus for carryin out surgical from said three-way valve, said third mentioned duct adapted to be connected with the second mentioned duct to discharge the contents therefrom and create a vacuum therein, as and for the purpose set forth.

3. A. device of the character described comprising abracket, a substantially rectangular right-angular frame having two receptacle-receiving portiogs, means for suspending a receptacle in one of said rece tacle-receivingportions, means for rigid y supporting a receptacle inthe other of said receptacle-receiving portions, and means for adjustably suspending said receptacle-sup stantially as described.

4. A- device of the character described comprising a supporting bracket, 9. plural ity of receptacles, means for carrying the porting frame relative to the bracket, fsubcontents'of the receptacles to a common discl1arge,-andmeans' for supporting said re.-

ccptacles in elevated position, said supporting means comprising a frame having a vertical POIHOIL and} a right-angular horizontally disposed portion, said right-angular horizontally disposed portion being curved to receive one of said receptacles, the other of said receptacles; being carried by the vertical portion of said frame.

5, In a medicalapparatus'as characterized I andin combination with a supply pf medic;

a manually-operable two-way valve between said supply and tube and having a drain disposed for siphonic-action in said tube.

6. In a medical apparatus as characterized and in combination with a supply of medica- 1nent,-a flexible delivery tube having a length adapted to extend through. the intestines from the rectum to the lower end of the ascending colon, means at the delivery end of 'said tube ,ada ted to permit the passage thereof throng the intervening sphincters, sald means embodying a closure at the tube -encl arid relatively staggered apertures formed in the sides thereof, a manually operable two-Way valve between said supply and tube and having a drain disposed for siphonic-action in said tube.

OSCAR BOTO SCHELLBERG. 

